Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,465.94 / $2,198.71 / $9,762.78	Professional		$1,465.94	$2,198.71	$9,762.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $2,375.33	Facility		$2,375.33	$2,375.33	$2,375.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $2,375.33	Professional		$1,733.99	$1,733.99	$2,375.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,530.61 / $7,167.50 / $9,348.20	Professional		$2,530.61	$7,167.50	$9,348.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,198.71 / $3,012.25 / $3,615.15	Facility		$2,198.71	$3,012.25	$3,615.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.02 / $3,398.24 / $3,795.91	Professional		$2,688.02	$3,398.24	$3,795.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,253.64 / $3,530.42 / $3,976.67	Facility		$3,253.64	$3,530.42	$3,976.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,198.71 / $3,104.95 / $3,795.91	Facility		$2,198.71	$3,104.95	$3,795.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $3,165.56 / $3,976.67	Professional		$1,733.99	$3,165.56	$3,976.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,011.95 / $6,011.88 / $12,683.13	Facility		$3,011.95	$6,011.88	$12,683.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,109.03 / $3,976.67 / $3,976.67	Professional		$3,109.03	$3,976.67	$3,976.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,413.91 / $5,413.91 / $7,218.54	Facility		$5,413.91	$5,413.91	$7,218.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.83 / $1,688.09 / $3,220.65	Professional		$1,612.83	$1,688.09	$3,220.65